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2 Reviewer Evaluation Form
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
02262024 FORM Reviewer Evaluation Q 1- 15
DIR Objective Review Assessment Survey
OMB: 0906-0084
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202406-0906-005
IC 265672
2 Reviewer Evaluation Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0906-0084 can be found here:
2025-03-28 - No material or nonsubstantive change to a currently approved collection
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